Active NPI
Miami Dade County MRI Corp
- Diagnostic Radiology Physician
- Miami, FL
National Provider Identifier
1194802983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MIAMI DADE COUNTY MRI CORP
- Practice address
- 411 SW 27TH Ave
Miami, FL 33135-2903 - Phone
- (305) 644-8077
- NPI assigned
- Nov 1, 2006
- Organization subpart
- Yes
- Parent organization
- WEST PALM BEACH RESOURCES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Omar V Perez
- Title
- President
- Phone
- (305) 644-8077
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
411 SW 27TH Ave
Miami, FL 33135-2903
Mailing address
411 SW 27TH Ave
Miami, FL 33135-2903
Phone (305) 644-8077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HCC5349 | Other | FL | AHCA |
National Provider Directory
National Provider Directory- Part of
- West Palm Beach Resource
Locations
411 SW 27th Ave
Miami, FL 33135
Phone (305) 644-8077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418860800000",
"number": "1194802983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 SW 27TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331352903",
"telephone_number": "305-644-8077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 SW 27TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331352903",
"telephone_number": "305-644-8077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIAMI DADE COUNTY MRI CORP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WEST PALM BEACH RESOURCES, INC",
"enumeration_date": "2006-11-01",
"last_updated": "2014-12-18",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "OMAR",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-644-8077"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "HCC5349",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
- Miami Counseling Center
- Miami Counseling LLC
- Miami Dade Community Medical Group,Corp.
- Miami Dade Community Services Inc
- Miami Dade County Community Action and Human Services Department
- Miami Dade Emergency Physicians LLC
- Miami Dade Health and Rehabilitation Services
- Miami Dade Health Care
- Miami Dade Health Centers
- Miami Dade Health Centers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.